Provider Demographics
NPI:1285626499
Name:CHO CHUNG HING, LORRAINE SHERYL (MD)
Entity Type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:SHERYL
Last Name:CHO CHUNG HING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1500 E VENICE AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-1662
Mailing Address - Country:US
Mailing Address - Phone:941-485-4700
Mailing Address - Fax:941-485-2888
Practice Address - Street 1:1500 E VENICE AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-1662
Practice Address - Country:US
Practice Address - Phone:941-485-4700
Practice Address - Fax:941-485-2888
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84851207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269862500Medicaid
FL800031974OtherTAX ID
FL37783OtherBCBS
FLP00161340OtherMEDICARE RR
FL37783ZMedicare ID - Type Unspecified
FLP00161340OtherMEDICARE RR